Traction Splint

  1. Assess neurovascular function as in #1 above.
  2. Place the ankle device over the ankle.
  3. Place the proximal end of the traction splint on the posterior side of the affected extremity, being careful to avoid placing too much pressure on genitalia or open wounds.
  4. Make certain the splint extends proximal to the suspected fracture. If the splint will not extend in such a manner, reassess possible involvement of the pelvis
  5. Extend the distal end of the splint at least 6 inches beyond the foot.
  6. Attach the ankle device to the traction crank.
  7. Twist until moderate resistance is met.
  8. Reassess alignment, pulses, sensation, and motor function. If there has been deterioration in any of these 3 parameters, release traction and reassess.
  9. Document the time, type of splint, and the pre and post assessment of pulse, sensation, and motor function in the patient care report (PCR).